9/16/2023 0 Comments Hospital bed side rails restraint![]() The almost nonexistent use of physical restraint in the United Kingdom in comparable settings provides evidence that this can be achieved (O’Keeffe, Jack, & Lye, 1996 Williams & Finch, 1997). The standards from The Joint Commission (TJC) and regulations from CMS have raised concerns among hospital professionals about the feasibility and safety of eliminating use of physical restraints and side rails in hospitals. However, the use of physical restraints or side rails for the involuntary immobilization of the patient may not only be an infringement of the patient’s rights, but can also result in patient harm, including soft tissue injury, fractures, delirium, and even death (Bower, McCullough, & Timmons, 2003 Evans, Wood, & Lambert, 2003 Krexi, Georgiou, Krexi, & Sheppard, 2015 McPherson et al., 2013 Miles, 1993). It is typical for health care professionals to use physical restraints and/or side rails to protect the patient or others (Evans & FitzGerald, 2002). ![]() Despite the federal regulations placed on hospitals since 1999, eliminating the use of physical restraints for the management of patients in acute nonpsychiatric settings has remained challenging. Many consider hand mitts a restraint only when wrist ties are used, but this is not universally agreed on others consider hand mitts a type of restraint because they involuntarily limit the individual’s ability to feed and groom himself or herself. Examples include wrist or leg restraints, Geri-chairs, and, in certain situations, full side rails and reclining chairs. Department of Health and Human Services, 2007). The Centers for Medicare & Medicaid Services (CMS) defines physical restraint as “any manual method, physical or mechanical device, material, or equipment that immobilizes or reduces the ability of the patient to move his or her arms, legs, body or head freely” (U.S. ![]()
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